JACK RYAN LADC, LPC
NPI 1922252246
Counselor - Professional in West Hartford, CT

Active since November 13, 2008PECOS Enrolled
2475 ALBANY AVE STE 203B, WEST HARTFORD, CT 06117(860) 519-6492(860) 519-6492 Get Directions Write a Review

NPPES record last updated: February 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Ryan Ladc, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK RYAN LADC, LPC (NPI 1922252246) is an individual professional provider in West Hartford, Connecticut, licensed in Connecticut (003589) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922252246
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJACK RYANCredential: LADC, LPC
Location Address2475 ALBANY AVE STE 203BWest Hartford, CT 06117-2523
Mailing Address53 Manor LnSouth Windsor, CT 06074-3214 · (860) 519-6492
Fax(860) 519-6492
Sole ProprietorNo
Enumeration DateNovember 13, 2008
Last NPPES UpdateFebruary 8, 2019
NPI 1922252246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CT · 003589
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 0008885 (CT)
2475 ALBANY AVE STE 203B, West Hartford, CT 06117

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jack Ryan Ladc, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
2475 ALBANY AVE STE 203B
WEST HARTFORD, CT 06117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Ryan's NPI number?

The NPI number for Jack Ryan is 1922252246. It was assigned to this individual provider in the NPPES registry on November 13, 2008.

Where is Jack Ryan located?

Jack Ryan practices at 2475 Albany Ave Ste 203B, West Hartford, CT 06117. The listed phone number is (860) 519-6492.

What is Jack Ryan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jack Ryan enrolled in Medicare?

Yes. Jack Ryan is registered in the Medicare PECOS enrollment system.

What insurance does Jack Ryan accept?

Health plans from Providence Health Plan list Jack Ryan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Ryan was last updated on February 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.